Saint Michael Residential Home

Facility must clear fire safety for bedridden persons

Based on observation and record review, the licensee did not comply with the section cited above by not obtaining an appropriate fire clearance approved by city and county fire department providing fire protection services by accepting 2 bedridden residents. ADM stated R2 & R5 are bedridden. Based on document review the facility is approved for 1 bedridden person in bedroom #5 which poses an immediate health, safety or personal rights risk to persons in care.

Obtain required California clearance or exemption

Based on record review, the licensee/administartor did not comply with the section cited above by not ensuring S2 has a valid criminal background clearance after prior to working and after separating S2 from the facility on 10/4/2019, which poses an immediate health, safety or personal rights risk to persons in care.

Notify agency before locking doors or gates

87705 Care of Persons with Dementia(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement was not met as evidenced by: Based on interview and observation, LPA Rai observed the cabinet containing knives was unlocked and accessible to residents with dementia which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

Passageways and stairways kept clear

87307 Personal Accommodations and Services (d) The following space and safety provisions shall apply to all facilities: (6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement was not met as evidenced by: Based on interview and observation, LPA Rai observed the area infront of the exit door for a bedridden resident on Hospice services was obstructed by a recliner chair which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

Fire approval and staff access to unlock systems

87705 (f) (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement was not met as evidenced by: Based on interview and observation, LPA Rai observed the cabinet containing laundry detergent was unlocked and accessible to residents with dementia which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

Store centrally held medications in locked secure place

87465 Incidental Medical and Dental Care (h)(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidenced by: Based on interview and observation, LPA Rai observed the medication cabinet containing the centrally stored medication was unlocked and accessible to persons other than employees and residents which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 3 out of 3 residents' file record review. The current staff are not able to find the weight records for the resident, which poses/posed a potential health, safety or personal rights risk to persons in care. S2 tried to call ADM but was not successful.